Healthcare Provider Details

I. General information

NPI: 1619056256
Provider Name (Legal Business Name): ROBERT DEAN PLAMBECK JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 SOUTH 70TH ST SUITE 220
LINCOLN NE
68510
US

IV. Provider business mailing address

1001 SOUTH 70TH ST SUITE 220
LINCOLN NE
68510
US

V. Phone/Fax

Practice location:
  • Phone: 402-486-1379
  • Fax: 402-486-1459
Mailing address:
  • Phone: 402-486-1379
  • Fax: 402-486-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberNE17704
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: